|
What are the Most Common Fungal Problems?
 The
fungal problems seen most often are athlete’s foot and fungal
nails. A fungus is a common mold that thrives in dark, warm, moist
areas. On the feet, it can grow on and between toes, as well as
on soles and toenails. Fungal problems can be a result of environment
(socks, shoes, heat, and humidity) or weakened immunity (diseases
such as diabetes). Chronic fungal infections are most common in
adults, while acute fungal infections are seen more often in children.
Athlete’s
Foot
A chronic infection caused by various types of fungus, athlete’s
foot is often spread in places where people go barefoot, such as
public showers or swimming pools. The condition ranges from mild
scaling and itching to painful inflammation and blisters. It usually
starts between the toes or on the arch and may spread to the bottom
and sides of the foot.
Fungal Nails
When a fungal infection progresses, it may infect one or more nails,
turning them yellow, green, black, or other colors. Fungal nail
infections can cause nail thickening, inflammation, or sensitivity.
Evaluation
Since fungal problems may be related to other medical problems,
your podiatrist needs to look at your medical history, examine your
foot and skin, and possibly do other tests.
Medical History
Your podiatrist asks you about any problems you’ve had in the
past, any medications you’re
taking, the type of work and activities you do, and the style of
shoes
you usually wear.
Exam
During your foot examination, your podiatrist checks for breaks
in the skin, growths, and odor (which can be a sign of bacteria).
Your skin is examined for flaking or scaling, and your nails are
checked for color, thickness, and inflammation.
Tests
Your podiatrist may take a culture (sample) from the infected area.
The culture may be examined under a microscope or observed in a
medium. These tests can help to determine the cause of your problem
or identify the type of fungus.
How are Fungal
Problems Treated?
Depending on the type of infection you have, various kinds of medication
may be used in treating your fungal problem. Successful treatment
usually involves a combination of medication and selfcare.
 Athlete's
Foot
If your condition is not serious, over-the-counter and prescription
powders, lotions, or ointments can often help treat scaling, itching,
and inflammation. Foot soaks may help dry excessive perspiration,
but talk with your podiatrist first. If your athlete’s foot
doesn’t improve, your podiatrist may prescribe stronger medication.
 Fungal
Nails
Since fungal nails are usually more resistant and more difficult
to treat than athlete’s foot, topical or oral antifungal medications
may be prescribed. Permanent nail removal is another possible form
of treatment for fungal nails.
What Can I Do
About Fungal Problems?
Your daily habits play a big part in help-ing to prevent fungal
problems. Follow the suggestions below, and see your podiatrist
if you have more problems.
Alternate Shoes
To help avoid fungus-causing perspiration, alternate the shoes you
wear so they have at least a day to dry out. Also, try to wear shoes
made of breathable materials like leather or canvas.
Dry Carefully
Always dry your feet thoroughly after you bathe or shower. Be sure
to dry between your toes. Foot powders can also help absorb moisture.
Change Socks
Wear natural-fiber socks and change them often, especially if you
play sports.
Beware of Bare
Feet
Wear sandals or thongs in public areas such as pools, showers, or
locker rooms.
Consultant: Brad L. Naylor, DPM, MS With contributions
by: Stephen R. Doms, DPM, Lori J. Hillman, DPM & Richard O.
Lundeen, DPM
This information is not intended as a substitute
for professional health care.
©1994, 1999 The StayWell Company
|
